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Journal of Indian Association of Pediatric Surgeons

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https://www.readbyqxmd.com/read/29681706/esophageal-lung-clinical-images
#1
Vivek Kumar Singh, Anjan Kumar Dhua, Manisha Jana, Veereshwar Bhatnagar
Esophageal lung (EL) is a highly rare anomaly, wherein the bronchus of a lung connects directly with the esophagus. Repeated lower respiratory tract infection (LRTI) is the hallmark of this condition. We present the clinical images of a 5-month-old boy who presented with repeated LRTI since birth. On evaluation, EL was diagnosed. Excision of the lung with abnormally communicating bronchus and primary repair of the esophagus was curative.
April 2018: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/29681705/cloacal-malformation-variant-in-a-male-neonate
#2
Rahul Gupta, Pramila Sharma, Arvind Kumar Shukla, Manisha Goyal, Ashok Gupta
Cloacal malformation is a rare entity and is invariably referred only to females. We are reporting a very rare case of cloacal malformation variant in a 6-day-old male neonate who presented with absent anal opening along with passage of urine and meconium from an abnormal opening in the perineum.
April 2018: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/29681704/cytomegalovirus-as-a-cause-of-colonic-stricture-simulating-hirschsprung-s-disease
#3
Chiranjiv Kumar, Meera Luthra
Colonic stenosis/atresias account for only 5%-15% of all atresias. Colonic stenosis is rarer than atresia and mostly occurs in ascending and transverse colon. Gastrointestinal sequelae of cytomegalovirus (CMV) are rare, frequently requires surgical intervention for diagnosis and management. We describe a 5-month-old female child with complaints of recurrent abdominal distension, vomiting, and constipation for 2 months simulating Hirschsprung's disease. After barium enema, the baby was taken up for surgery. Intraoperatively, we found a colonic stricture in the descending colon...
April 2018: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/29681703/torsion-of-a-splenule-in-a-case-of-splenogonadal-fusion-mimicking-a-strangulated-inguinal-hernia
#4
Ravikiran Cheelenahalli Srinivasa Rao, Veerabhadra Radhakrishna, Nilima Rao, Susmita Rakshit
Splenogonadal fusion (SGF) is a rare anomaly, and to the best of our knowledge, none have mimicked a strangulated inguinal hernia. A 6-year-old boy presented with a painful left inguinal swelling mimicking a strangulated hernia but turned out to be a SGF, which was managed successfully with an inguinal procedure.
April 2018: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/29681702/kluth-type-iiib-6-esophageal-atresia-diagnostic-dilemma-and-pitfalls-of-using-infant-feeding-tube
#5
Rahul Gupta, Pramila Sharma, Ram Babu Goyal
We describe three male neonates where infant feeding tube (IFT) passed 18-20 cm in the upper esophageal pouch. A blunt-tipped red rubber catheter confirmed esophageal atresia (EA) with long upper pouch in all three cases. Definitive management revealed EA with tracheoesophageal fistula and long overlapping upper esophageal pouch consistent with Kluth Type IIIb6 variant in two patients. Importance of using red rubber catheter at the pediatric practice instead of IFT is stressed.
April 2018: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/29681701/congenital-benign-intrahepatic-cyst-with-cystobiliary-communication-an-intraoperative-diagnostic-enigma
#6
J S Kishore, Richa Lal, Abhishek Chinya, J B Nijagal Mutt
This manuscript reports a 15-month-old male presenting with a congenital solitary benign intrahepatic cyst, wherein the presence of a cyst with frank bile and a large cystobiliary communication came as an intraoperative enigma. The stepwise approach to diagnosis, management, and review of relevant literature carry a useful message.
April 2018: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/29681700/penile-dislocation-with-inversion-a-rare-complication-of-blunt-pelvic-injury
#7
Ravindra Sahadev, Vinay Jadhav, Narendra Babu Munianjanappa, Gowri Shankar
Penile injuries in children are usually uncommon and are predominantly associated with pelvic trauma or as postcircumcision injuries. The authors present a rare case of penile dislocation with penile inversion in a 5-year-old child occurring due to blunt pelvic injury. The child presented 3 months after pelvic injury with a suprapubic catheter for urinary diversion and absent penis with only penile skin visible. The presence of dislocated penile body was detected on magnetic resonance imaging, which was subsequently confirmed intraoperatively...
April 2018: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/29681699/bronchoscopic-airway-foreign-body-extraction-without-using-optical-forceps
#8
Shalini Hegde, Umesh Bahadur, Ravi Prakash Kanojia, Monika Bawa, Ram Samujh
Aim: Airway foreign body (FB) is a very common pediatric surgical emergency. On certain difficult occasions, the extraction of FB with optical forceps (OFs) is difficult. These conditions create a life-threatening scenario. We present some of the alternative methods of FB extraction for these situations. Patients and Methods: This is a retrospective case review of patients presenting to pediatric emergency with airway FB. All patients had a chest X-ray done before the procedure...
April 2018: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/29681698/ratio-of-preoperative-and-postoperative-serum-bilirubin-levels-predicts-early-outcome-following-biliary-atresia-surgery
#9
Kashish Khanna, Veereshwar Bhatnagar, Sandeep Agarwala, Maddur Srinivas, Siddhartha Datta Gupta
Aim: This study investigates the fall in total serum bilirubin levels within 1 week after surgery, as a marker to predict early outcome in biliary atresia (BA) patients post-Kasai portoenterostomy (KP). Methods: The ratio of total serum bilirubin levels at the 7th postoperative day to the preoperative level (TB7/TB0) in patients undergoing KP was calculated (January 2011-July 2015). Patients were stratified after 3-months follow-up into outcome groups depending on the clinical clearance of jaundice and TB7/TB0 ratio was correlated to outcome and liver histopathological changes in these groups...
April 2018: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/29681697/estimation-of-renal-functional-reserve-in-children-with-different-grades-of-vesicoureteric-reflux
#10
Rafey Abdul Rahman, Veereshwar Bhatnagar, Sandeep Agarwala, Rakesh Kumar
Background: Vesicoureteric reflux (VUR) is one of the most common anomalies encountered in pediatric urology. The concept of renal functional reserve (RFR) as the ability of the kidney to increase glomerular filtration rate (GFR) following a protein load was introduced in the 1980s. Aim: This study aims to evaluate RFR using 99 Tc diethylenetriamine pentaacetic acid (DTPA) as the filtration agent for GFR estimation in children with VUR. Materials and Methods: RFR was estimated in 53 children, of which 31 patients had unilateral VUR (Group I) and 22 patients had bilateral VUR (Group II), by subtracting baseline GFR from stimulated GFR following an intravenous protein load...
April 2018: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/29681696/technique-of-antireflux-procedure-without-creating-submucosal-tunnel-for-surgical-correction-of-vesicoureteric-reflux-during-bladder-closure-in-exstrophy
#11
Kanoujia Sunil, Archika Gupta, Digamber Chaubey, Anand Pandey, Shiv Narain Kureel, Ajay Kumar Verma
Aim: To report the clinical application of the new surgical technique of antireflux procedure without creating submucosal tunnel for surgical correction of vesicoureteric reflux during bladder closure in exstrophy. Materials and Methods: Based on the report of published experimental technique, the procedure was clinically executed in seven patients of classic exstrophy bladder with small bladder plate with polyps, where the creation of submucosal tunnel was not possible, in last 18 months...
April 2018: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/29681695/use-of-pretherapy-core-biopsy-in-the-diagnosis-of-pediatric-renal-tumors
#12
Jujju Jacob Kurian, Kenneth R L Nongpiur, Susan Jehangir
Background: Pretreatment core biopsy of pediatric renal tumors has been advocated by United Kingdom Children's Cancer Study Group to circumvent the disadvantage of International Society of Paediatric Oncology protocol, where neoadjuvant chemotherapy initiated without histopathological confirmation can result in over- or under-treatment. Aim: This study aims (a) to assess if pretherapy core biopsy correlates with the nephrectomy biopsy; (b) to assess if neoadjuvant chemotherapy changes Wilms tumor (WT) histology, and (c) to assess the incidence of biopsy site recurrence...
April 2018: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/29681694/laparoscopic-ladd-s-procedure-in-children-challenges-results-and-problems
#13
A Suyodhan Reddy, Rasik S Shah, Dattaguru R Kulkarni
Background: Laparoscopic correction of malrotation in children is challenging. Authors review their experience with indications, results and problems of laparoscopic correction of malrotation. Materials and Methods: This is a retrospective study of 41 cases of children who were diagnosed as Intestinal malrotation on clinical and radiological evaluation. Results: Successful laparoscopic Ladd's procedure was accomplished in 35 cases. There were six conversions to open surgery...
April 2018: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/29681693/anorectal-malformations-in-adolescent-females-a-retrospective-study
#14
Jiledar Rawat, Sudhir Singh, Nitin Pant
Context: While most of the females with anorectal malformations (ARMs) present in either neonatal period or early infancy, a small percentage presents in their adolescence. Aim: The aim is to study the causes of delay in presentation, management, and postoperative outcome in these cases. Settings and Design: This is a retrospective observational study conducted in the Department of Paediatric Surgery, King George's Medical University, Lucknow...
April 2018: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/29681692/live-workshops-a-time-to-rethink
#15
EDITORIAL
Subhasis Saha
No abstract text is available yet for this article.
April 2018: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/29386770/plagiarism-and-pediatric-surgery-publications
#16
Beuy Joob, Viroj Wiwanitkit
No abstract text is available yet for this article.
January 2018: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/29386769/mesenteric-leiomyoma-in-infancy
#17
Mahmood Dhahir Al-Mendalawi
No abstract text is available yet for this article.
January 2018: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/29386768/pediatric-chylopericardium-treatment-conundrum
#18
Mitul Jasani, Amar Shah, Anirudh V Shah
Primary chylopericardium is a rare entity in the pediatric population, which is characterized by chyle accumulation in the pericardial sac. Treatment of this rare problem is a management dilemma as no definitive treatment has been found to be curative. We share our experience of treating chylopericardium with minimally invasive surgery.
January 2018: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/29386767/abdominoperineal-pull-through-with-simultaneous-extravesical-detrussoraphy-an-alternative-surgical-technique-for-congenital-pouch-colon-with-high-grade-vesicoureteric-reflux
#19
Monika Bawa, Ravi Kumar Garg, Vedarth Dash, Prema Menon, K L N Rao
Congenital pouch colon (CPC) is frequently associated with vesicoureteric reflux (VUR). These patients require long-term antibiotic prophylaxis and/or an additional surgical intervention for the management of the refluxing system. We propose a single-stage alternative approach in these patients. Two patients diagnosed to have CPC underwent pouch excision and an end colostomy at birth. Further evaluation revealed high-grade reflux in both the patients. At 6 months of age, definitive abdominoperineal pull-through (APPT) surgery along with extravesical detrusorrhaphy was performed...
January 2018: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/29386766/teratoma-arising-from-hepato-duodenal-ligament-in-the-newborn-with-transection-of-portal-vein-hepatic-artery-and-common-bile-duct-a-surgical-challenge
#20
V R Ravikumar, G Rajamani, Vijayakumar Raju, Rajani Sundar, Sowmya Ravikumar, Raghul Maniam
A 7-day-old neonate presented with a large intra-abdominal mass adherent to the hilum of the liver encasing the portal triad. During excision, the portal vein, hepatic artery, and common bile duct were injured. The repair was done promptly and needed massive blood transfusion. Histopathology revealed immature teratoma Grade III. Survival in neonate following total transection of portal triad is rare and has not been reported.
January 2018: Journal of Indian Association of Pediatric Surgeons
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